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1174405427 NPI number — KENDRA BRADFORD LPC-MHSP

NPI Number: 1174405427
Health Care Provider/Practitioner: KENDRA BRADFORD LPC-MHSP

Information about “1174405427” NPI (KENDRA BRADFORD LPC-MHSP) exists in 1174405427 in HTML format HTML  |  1174405427 in plain Text format TXT  |  1174405427 in PDF (Portable Document Format) PDF  |  1174405427 in an XML format XML  formats.

NPI Number : 1174405427 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174405427",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BRADFORD",
    "FirstName": "KENDRA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LPC-MHSP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "124 SHIAWAY CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NASHVILLE",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37217-2528",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "615-870-7094",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6201 CORINTH RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MT JULIET",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37122-7603",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "615-973-5454",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/25/2025",
    "LastUpdateDate": "07/25/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "6769",
        "LicenseNumberStateCode": "TN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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